Clifton Carroll Copper Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011870 Issued in VA

Practice address

811 Town Center Dr
T-2294
Waynesboro, VA 22980-9262

Phone

(540) 941-2281

Fax

(540) 941-2281

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1457647802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 TOWN CENTER DR",
            "address_2": "T-2294",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809262",
            "telephone_number": "540-941-2281",
            "fax_number": "540-941-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 TOWN CENTER DR",
            "address_2": "T-2294",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809262",
            "telephone_number": "540-941-2281",
            "fax_number": "540-941-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPER",
        "first_name": "CLIFTON",
        "middle_name": "CARROLL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jonas Collins, D.M.D.
• Commonwealth of Virginia State Board of Health
• Community Alternatives Virginia, Inc.
• Community Living Services
• Contractors USA Inc.
• Tiffany Marie Corbett
• Core Therapeutics LLC
• Jason Cosby
• Pamela W Crance, NP
• Caroline Noel Crilley, M.S.ED., LPC

• Pharmacist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.